Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KAMRAN DASTOURY, M.D.
Active Sole ProprietorDR. KAMRAN DASTOURY, M.D. is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in LAKEWOOD, Colorado. NPI 1275831208 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · LAKEWOOD, CO
Registration Details
- NPI Number
- 1275831208
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2011 (15.489161290489 yrs)
- Last Updated
- May 5, 2018
- Licenses
-
101382 (CA)A146736 (CA)000203543 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2290 KIPLING ST UNIT 2LAKEWOOD, CO, 802151546Browse CO providers · Browse ZIP 80215
- Phone
- 6614668266
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Ambulatory Surgical Center
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.